Provider Demographics
NPI:1700095163
Name:LAWN OBSTETRICS AND GYNECOLOGY, S.C.
Entity Type:Organization
Organization Name:LAWN OBSTETRICS AND GYNECOLOGY, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:FLOSI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-645-8080
Mailing Address - Street 1:16609 S. 107TH COURT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-9016
Mailing Address - Country:US
Mailing Address - Phone:708-645-8080
Mailing Address - Fax:708-645-8081
Practice Address - Street 1:16609 S. 107TH COURT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-9016
Practice Address - Country:US
Practice Address - Phone:708-645-8080
Practice Address - Fax:708-645-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty